Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kalie Marie Goodman, MD

Individual provider Surgery Physician · NPI 1104317999

Dr. Kalie Marie Goodman, MD is a General Surgery in Greenville, South Carolina. Graduated from University of South Carolina School of Medicine, Greenville in 2018, 8 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina and Utah.

Years since qualifying
8
Trained at
University of South Carolina School of Medicine, Greenville
Licensed in
SC, UT
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

48 Centennial Way
Greenville, SC 29605-4662
Phone: (864) 522-8000
Fax: (864) 522-8005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1250 E 3900 S Ste 320, Salt Lake City, UT 84124-1350 — (801) 263-1621

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 92979 (SC)
Surgery Physician Taxonomy 208600000X · Licence 13271767-1205 (UT)
Surgery Physician Taxonomy 208600000X · Licence LL52459 (SC)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 13271767-1205 (UT)

Record details

NPI number1104317999
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 29, 2018
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE, GREENVILLE
Graduated 2018 (8 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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